Gastrointestinal Function

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Instructions: Response should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Must be grammatically correct.

Gastrointestinal Function:
R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation.

Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.

Case Study Questions

  1. In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
  2. Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
  3. Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?

Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently.

Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

Case Study Questions

  1. In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
  2. If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
  3. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?

Training And Development

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Training and development prompts change within an organization. The goal of training is to identify areas for improvement and to develop growth opportunities that support the employees in their professional career.

For this assignment, you are required to develop a small training exercise in the form of a PowerPoint presentation. Review previous needs assessments. And training observations conducted at your workplace to help identify one area for improvement that would benefit your organization. This training exercise does not need to be implemented but should include at least one deliverable that you could use during the training exercise. As you are reviewing your organization, consider employee engagement, systems. And procedures, communication, resources, succession planning. And the culture within the organization. These are suggestions for possible areas that could benefit from a training exercise.

Create an 8-10 slide PowerPoint presentation of your training exercise, with speaker notes, and include the following:

  • What;
  • are the overall goals for the training or the benefit to the selected organization?
  • are two specific objectives for the training exercise?
  •  processes or procedures will change after the training has been completed?
  • Describe the strategies or actions involved in the training exercise to meet the established goals and objectives. What is the expected employee performance or application after the training? How will the strategies drive successful business results and improve employee performance?
  • How will the organization provide support to the current employees receiving this training? To new employees? How will the effectiveness of the training exercise be measured to confirm the anticipated improvement of employee performance?

 Training And Development

While APA style format is not required for the body of this assignment. Solid academic writing is expected, and in-text citations and references should be presented using documentation guidelines. Which can be found in the APA Style Guide. Located in the Student Success Center.

This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

Benchmark Information:
This benchmark assignment assesses the following programmatic competency:
MBA-Strat HR Mgmt
5.2 Recommend strategies for utilizing the workforce to enhance an organization’s human capital talent in order to drive successful business results.

Quality and Safety Core Elective

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Quality and Safety Core Elective
Patient Safety and Cost
Lisa Anderson is a 74-year-old female with a history of osteoporosis. She is a widow and lives alone in a two-story home. Mrs. Anderson is retired and depends on her Social Security income. She takes pride in making all her own food from scratch. While she is walking at the hospital today, Mrs. Anderson falls and fractures her left hip. She is transported to the OR for immediate surgery.
Patient falls are a serious problem in hospitals, resulting in substantial morbidity, mortality, increased length of stay, and higher costs. It is estimated that high hospitalization rates in healthcare organizations result from patient falls.

Fall rates in acute-care hospitals have been measured between 2.2 and 7 falls per 1,000 admissions. Injuries occur in approximately 30% of falls, and severe injuries occur in 4% to 6% of falls. Patient falls increase the cost of patient care. It was found that patients who fell and were injured as a result of a fall had $4,233 higher charges and a length of stay (LOS) of 12.3 days.
Provide an example of something in your current facility that is increasing the cost of care in your organization. How is it being controlled, or how could it be controlled? Make sure to provide some ideas of what could be done better to improve care and outcomes.
IMPORTANT NOTE

Patient Case For Musculoskeletal

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You will perform a history of a musculoskeletal problem that your instructor has provided you or one that you have experienced and perform an assessment of the musculoskeletal system. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided. Your subjective portion of the documentation should briefly describe your “client”. For example, “This client is a 23-year-old white female complaining of a painful, swollen ankle. States that she stepped ‘funny’ off a step two days ago and thinks she heard a ripping sound. She takes no medications and has no allergies. The client reports pain as 5/10 with sharp twinges when trying to walk, resting and ice decreases pain to 2/10 aching. Pain is primarily in the outer aspect of ankle and foot. Has no prior injury to this area. No significant past medical history.” In terms of your objective findings, remember to only record what you have assessed. Do not make a diagnosis or state the cause of a finding. You are not coming to any conclusions within your documentation. When your documentation is complete, you will note any findings that were abnormal.

You will submit this documentation as a Word document to the drop box provided.

The Differences And Similarities Between Two Of The Three Types Of Qualitative Studies

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The Differences And Similarities Between Two Of The Three Types Of Qualitative Studies

2 DQ 2

Ethnography is a research that involves observation, where interaction with willing participants interact in real life with real-life experiences. Researchers are involved in the lives of the participants and live and learn their culture and situation. The researcher collects data through observation and interviews of willing participants to examine cultural behaviors, (Green, S. Z., & Johnson, J. L., 2018). An example of an ethnography research can be of a researcher observing and examining gangs in Kansas City or the homeless. These groups can be observed and interviewed to understand their way of living.

Phenomenology involves the understanding of a person’s lived experiences. Data is collected through interviews and conversations of the willing participants. All information from interviews and observations can be recorded in journals and dated to keep organized, (Green, S. Z., & Johnson, J. L., 2018).

The similarities between ethnography and phenomenology research are that they can be of observation or interviews. The differences are that the ethnography consists of a group or a community, involves the culture and beliefs and the research may take longer than that of phenomenology. The phenomenology research consists of a significant phenomenon in life of a person. The study consists of the individual’s life experiences and research is usually a lot shorter than that of ethnography, (Mol, A. M., Silva, R. S., Rocha, Á. A., & Ishitani, L., 2017).

In 200-300 words APA format with references to support this discussion

The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types of qualitative studies and give an example of each.

Qualitative Data

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4 postsRe: Topic 2 DQ 1

Qualitative research produces a variety of data, from a variety of sources. Data sources may be personal interviews (written or recorded), surveys, questionnaires, official documents or observation notes. To complicate matters, more often than not, there are numerous respondents or participants and multiple researchers. To extricate and code data from multiple data sources can be difficult, but made much easier if the data is organized appropriately. (Katherine B.2017)

The vast majority of qualitative data is “Unstructured Data,” which includes documents, photographs, audio, and video.

The simplest things we can do to improve the usability of unstructured data for analysis are:

  • Convert it to a structured schema that can be evaluated with quantitative methods.
  • Make it simple to find.

On the first point, we can feed documents to full-text search engines such as Lucene, which make data retrieval simple. We can also design full text search engines to execute faceted searches, allowing us to attach Metadata facets (e.g., Author, Media Type, Creation Date, etc.) to enhance our quantitative research. The same search engine was used. (Bensal P and others…. 2010)

On the second point, there are a variety of methods for converting qualitative Unstructured Data into Structured Data (which may be quantitatively examined). But it all relies on what you want to do with the Structured Data and how you get it. You can, for example, create n-grams (continuous sequences of words) and then analyze those n-grams to identify what the most common terms are within a subset of texts.

You might wish to have someone manually transcribe all consumer references of a product when evaluating footage. There are already Machine Learning algorithms that can transcribe and recognize speech.

Machine Learning and Deep Learning programs that can extract usable and reliable quantitative data from qualitative data will be extremely important in the future of analytics. However, manual methods such as employing Amazon Mechanical Turk, or a combination of both, are equally viable options for extracting Quantitative Structured Data from Qualitative Unstructured Data.

Using 200-300 APA FORMAT with references to support this discussion,

 Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. Discuss two strategies that would help a researcher manage and organize the data.

Supporting the Healthcare Workforce During the COVID-19 Global Epidemic

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200-250 words APA 6 format, in-text citation, Please provide a copy of all references used.

The links to the three mentioned articles are provided below.

Assignment Details:

Pandemics pose many ethical dilemmas because the rights of the individual and the well-being of the population (public health) may be in conflict. For example, resources may become scarce, and rationing leads to ethical dilemmas and decisions on who has access to healthcare services. Requirements to wear masks, social distance, self-isolation and quarantine, and vaccination often lead to conflicts of personal rights and public health mandates, as well as personal and professional ethics. COVID-19 is the most recent pandemic, but the same ethical dilemmas were faced over the past 20 years with the pandemics of SARS, Ebola, Zika, and influenza.

Watch this video about stopping the spread of COVID-19.

Read the following articles:

Then, read the following case study.

Epidemics and pandemics pose ethical dilemmas to the community and to healthcare workers and healthcare institutions. Whether it is influenza, COVID-19, or other infectious disease outbreak, healthcare workers have professional and personal obligations to care for patients and are considered “essential personnel.” They have a duty to care for their patients but also responsibilities to care for themselves and their families. The healthcare organization also has a duty to care for its employees.

Consider Janet who is a 30-year-old medical assistant working in an urgent care center that is seeing many patients with respiratory illnesses and many are coming in for testing. The center has experienced shortages in its supplies of personal protective equipment (PPE) and are short staffed at times.

Janet’s husband is concerned that she will develop the disease and bring it home to him, their children, and his mother who lives with them. He does not want her to go to work, but Janet does not want to abandon the patients or contribute to the stress of an already overworked healthcare team.

Based on the scenario, answer the following questions:

  • Janet must come to a decision and resolve her ethical dilemma. What is she likely to consider in making her decision?, personal values and morals and professional ethics contribute to the dilemma?
  • What other ethical dilemmas do healthcare professionals and public health officials face in dealing with pandemics such as influenza and COVID-19?

References and links to articles 

Adams, J. G., & Walls, R. M. (2020). Supporting the health care workforce during the COVID-19 global epidemic. Journal of the American Medical Association, 323(15), 1439–1440. https://jamanetwork.com/journals/jama/fullarticle/2763136

Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Journal of the American Medical Association, 323(21), 2133–2134. https://jamanetwork.com/journals/jama/fullarticle/2764380

The Hastings Center. (2020, November 18). Stop the spread [Video]. YouTube. https://www.youtube.com/watch?v=S46Fp-NxwnY&feature=emb_logo

cultural and political changes

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  1. What cultural and political changes introduced during the Ashikaga period had a long-lasting effect on Japanese history and civilization?
  2. By what measures did Oda Nobunaga, Toyotomi Hideyoshi, and Tokugawa Ieyasu manage to unify the realm, and what were the limits to their achievement of unification?
  3. In what ways, and to what extent (if at all) did the role and the ambitions of the samurai change from the time just prior to the establishment of Tokugawa rule, through the early decades of the Tokugawa era in the 17th century.  How, if at all, did the samurai role and ambitions or self-understanding then change through 18th and 19th centuries?
  4. How did Japanese culture change during the Tokugawa period? What was the importance of Confucianism to the culture of Japan?

Intersexuality

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This week’s readings add the concept of difference to body politics, and ask us to think about how women’s bodies can situate them within multiple identity categories.

FIRST, define “intersectionality” (or “intersectional feminism”) in your own words.

THEN, discuss how intersectional identity can affect women’s experiences and relationship to society.

Refer to at least three learning resources assigned for this week in your response (these may include last week’s course module reading “Women and Body Politics“) and provide specific examples from the reading, the news, or your own life. Some questions to consider:

  • What is the historic relationship between women of color and mainstream feminism? What remedies have been proposed to repair that relationship?
  • How can differences in race, class, age, sexual orientation, nationality, ability, religion, gender identity, or other identity categories affect how a woman experiences the images and expectations of women found throughout our society and the media?
  • How can different intersectional identities complicate the decisions about which goals feminist activists and politicians ought to pursue?
  • Why are African American feminists particularly vocal about the problems of mainstream feminism for women of color? What is the history that they are trying to emphasize?
  • Age is often a “forgotten” identity category, particularly when it comes to political activism. Why do you think that is? What can be done about it?
  • Why and how does intersectional feminism help us to reconceive relationships among women of different identity groups? How can this reconception benefit our society in the long run?

Social Engineering.

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Week 2 Discussion Post – Social Engineering.

Respond to a scholarly article of your choosing that is related to Social Engineering.  The article must be current (within the last 12 months) and should be peer-reviewed.  Please do not source writings that are part of an advertisement or non-scholarly writings.  Your response should be in APA format, with a minimum of 3 comprehensive paragraphs.  A minimum of two APA cited references should be listed for responses and reviews.